MEDICARE: LORRY KING PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT1686	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508913229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRY KING PT

Provider Business Mailing Address
First Line	:	1000 S FIFTH AVE
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-3626
Country	:	US
Telephone Number	:	662-843-2339
Fax Number	:	662-846-1397

Provider Business Practice Location Address
First Line	:	1000 S FIFTH AVE
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-3626
Country	:	US
Telephone Number	:	662-843-2339
Fax Number	:	662-846-1397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1811847338 — MISS REBECCA ANGELYSE BERMUDEZ
Practice Location Address:

5701 BEHRWALD AVE
CLEVELAND, OH
44144-3626

Practice Phone: 216-938-3333
Practice Fax:

1356657068 — MS. NICOLE MONIQUE ANDERSON LPN
Practice Location Address:

10921 GRANTWOOD AVE
CLEVELAND, OH
44108-3626

Practice Phone: 216-527-8155
Practice Fax:

1144854068 — LAKEETA MONET BARRINGER
Practice Location Address:

3626 E 147TH ST
CLEVELAND, OH
44120-4851

Practice Phone: 216-658-3626
Practice Fax:

1851100358 — YESENIA QUINONES
Practice Location Address:

3626 W 104TH ST
CLEVELAND, OH
44111-3817

Practice Phone: 216-882-0646
Practice Fax:

1306568902 — ALLYSA MCNEER CPNP-PC
Practice Location Address:

818 E SUNFLOWER RD
CLEVELAND, MS
38732-2824

Practice Phone: 662-579-3449
Practice Fax:

1457353658 — DR. JOHN A CARR MD
Practice Location Address:

810 E SUNFLOWER RD STE 100A
CLEVELAND, MS
38732-2828

Practice Phone: 662-579-0118
Practice Fax: 662-846-5464

Directions to “ LORRY KING PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.